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Innovation can improve and expand aspects of end-of-life care in low- and middle-income countries
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Title: | Innovation can improve and expand aspects of end-of-life care in low- and middle-income countries |
Authors: | Steedman, MR Hughes-Hallett, T Marie Knaul, F Knuth, A Shamieh, O Darzi, A |
Item Type: | Journal Article |
Abstract: | Provision for end-of-life care around the world is widely variable and often poor, which leads to millions of deaths each year among people without access to essential aspects of care. However, some low- and middle-income countries have improved specific aspects of end-of-life care using innovative strategies and approaches such as international partnerships, community-based programs, and philanthropic initiatives. This article reviews the state of current global end-of-life care and examines how innovation has improved end-of-life care in Nigeria, Uganda, India, Bangladesh, Myanmar, and Jordan. Specifically, we examine how opioids have been made more available for the treatment of pain, and how training and education programs have expanded the provision of care to the dying population. Finally, we recommend actions that policy makers and individuals can take to improve end-of-life care, regardless of the income level in a country. |
Issue Date: | 1-Sep-2014 |
Date of Acceptance: | 1-Sep-2014 |
URI: | http://hdl.handle.net/10044/1/60493 |
DOI: | https://dx.doi.org/10.1377/hlthaff.2014.0379 |
ISSN: | 0278-2715 |
Publisher: | Project HOPE |
Start Page: | 1612 |
End Page: | 1619 |
Journal / Book Title: | Health Affairs |
Volume: | 33 |
Issue: | 9 |
Copyright Statement: | ©2014 Project HOPE — The People-to-People Health Foundation, Inc. |
Sponsor/Funder: | National Institute for Health Research |
Funder's Grant Number: | NF-SI-0510-10186 |
Keywords: | Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Health Policy & Services PALLIATIVE CARE MAPPING LEVELS ORAL MORPHINE UGANDA HOSPICE AFRICA CANCER IMPACT Access To Care Elderly International/global health studies Quality Of Care Bangladesh Developing Countries Diffusion of Innovation Humans India Jordan Myanmar Nigeria Quality Improvement Terminal Care Uganda 1117 Public Health And Health Services 1402 Applied Economics |
Publication Status: | Published |
Online Publication Date: | 2014-09-01 |
Appears in Collections: | Division of Surgery Faculty of Medicine |